Angela P. Neri Sept.

4, 2020
BSN 309

ACTIVITY

ACTIVITY 2: The first activity provide specific guidelines for critiquing aspects of the study
covered in this chapter. Basically this activity are designed to assist you in using the
information in this chapter in an overall preliminary assessment of a research report.

INSTRUCTION

Reading the full abstract of the journal article would prove useful for learning more about the
studies, their methods, and the findings. Answer the questions in the table (Research
Report) about the Ohannessian et al., (2020) study described in this chapter.

Research Example: 
Study
Global Telemedicine Implementation and Integration Within Health Systems to Fight the
COVID-19 Pandemic: A Call to Action (Ohannessian et al., 2020)

ABSTRACT

On March 11, 2020, the World Health Organization declared the coronavirus disease 2019
(COVID-19) outbreak as a pandemic, with over 720,000 cases reported in more than 203
countries as of 31 March. The response strategy included early diagnosis, patient isolation,
symptomatic monitoring of contacts as well as suspected and confirmed cases, and public
health quarantine. In this context, telemedicine, particularly video consultations, has been
promoted and scaled up to reduce the risk of transmission, especially in the United Kingdom
and the United States of America. Based on a literature review, the first conceptual framework
for telemedicine implementation during outbreaks was published in 2015. An updated
framework for telemedicine in the COVID-19 pandemic has been defined. This framework could
be applied at a large scale to improve the national public health response. Most countries,
however, lack a regulatory framework to authorize, integrate, and reimburse telemedicine
services, including in emergency and outbreak situations. In this context, Italy does not include
telemedicine in the essential levels of care granted to all citizens within the National Health
Service, while France authorized, reimbursed, and actively promoted the use of telemedicine.
Several challenges remain for the global use and integration of telemedicine into the public
health response to COVID-19 and future outbreaks. All stakeholders are encouraged to address
the challenges and collaborate to promote the safe and evidence-based use of telemedicine
during the current pandemic and future outbreaks. For countries without integrated
telemedicine in their national health care system, the COVID-19 pandemic is a call to adopt the
necessary regulatory frameworks for supporting wide adoption of telemedicine.

Research Report
1. Is the study Evidence Based Practice or Research Utilization? How do you classify your
answer?
2. What is the logical reasoning utilized in the study? Explain briefly
3. What is your responsibility as a beginning nurse in the implementation of the study?
4. How can you apply your competence as a nurse researcher in this study?
5. How can you apply the study result on improving the patient care at this time of
pandemic?
6. How can the study aid in the career growth of a beginning nurse like you?

Research Report ASSESSMEN

T
This study is an Evidence Based Practice given that the
EBP/ RU effective implementation of Telemedicine from previous
(1 statement only) outbreaks and application to some countries have been the
basis of the integrated framework as a scientific evidence
in coping with the public health response during the
COVID-19 pandemic, basically qualifying its approach to
improving clinical practice from the characteristics of an
EBP.
Logical Reasoning The research approaches with a deductive reasoning as it
(1 statement only) starts with a guided theoretical framework and utilized the
data from the relevant fieldwork, the public healthcare, to
verify its effectiveness on from the fieldwork of public
health empirical setting, thus the hypothesis of the
framework for Telemedicine in health response to
pandemics in general, can predict its benefits upon
adoption for integrating during the current pandemic and
future outbreaks.
Responsibility as a The role of nurse in Telemedicine is to integrate nursing
nurse informatics from modifying its framework on the clinical
practice at a remote setting. The concerning challenges involved
(2 statements) such as reimbursements, potential staff resistance, etc., must be
dealt with proper level of monitoring with the patient’s data
through comforting environment yet private to maintain
confidentiality, and collaboration with the institution to
transition the evolving advancements in delivering health care.
Application of The nurses must meet the (American Nurses Association)
competence ANA’s specific Telemedicine standards that basically requires
clinical knowledge and practice, communication skills or
(2 statements)
 patience, ethics-related (e.g. professional and personal integrity,
confidentiality, honesty) are fundamentals or indispensable to
nursing competencies. However, due to the limited application
of this research to the current pandemic, it is still important to
link the traditional nursing activities from the described
standards based on the technological capacity level of the
country, thus demanding a need for developing subject specific
competencies.
Application of the In the field of research, the study results aim to draw further
study result integration of the Telemedicine and establish an adaptable
framework to the current pandemic and to the remote setting
that arise various medical care to consider appropriately,
(2 statements) particularly addressing the solution of the challenges
encountered upon utilization and limitation to its resources upon
implementation. As regards to the clinical practice, health care
institutions necessitates investment on training to better equip
themselves in adding additional services that provides
opportunities upon innovating patient’s health management and
information such as video consultations since telemedicine
features deploy varies from that hospital and patient
accessibility in technology.
Career Growth The use of technology in the field of medicine evidently
expands globally reaching 16 million dollars from 2017 to 2024
according to the Market Research Future (MRFR) analysis. In
(2 statements) consideration with the continuous growth of technology, this
poses a huge potential of telemedicine for health care providers
to conduct technological research advancements in improving
or rewiring delivery of quality care in the remote setting, thus
contributing to the productivity of stakeholders involved in
patient care because of the level of convenience for consumers,
the prevalence of Telenursing increases workers to willingly
provide 24 hour coverage on meeting healthcare demands.
TOTAL POINTS= 24

ASSESSMENT
We will be using rubric to assess how much you were able to expressly explain each concept.
Below is the component on how you will be graded base on your interpretation of EACH
concept.

CRITERIA Points
WELL EXPLAINED 4
EXPLAINED 3
SOMEWHAT EXPLAINED 2
NOT EXPLAINED 1
Total Points 6 ITEMS * 4=24